Healthcare Provider Details

I. General information

NPI: 1013683275
Provider Name (Legal Business Name): HAYLEY GABRIELLE HORNFECK LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 TALBOT ST
EASTON MD
21601-3525
US

IV. Provider business mailing address

300 TALBOT ST
EASTON MD
21601-3525
US

V. Phone/Fax

Practice location:
  • Phone: 410-822-1018
  • Fax: 410-690-7345
Mailing address:
  • Phone: 410-822-1018
  • Fax: 410-690-7345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27616
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: